Reference :-

IC.O. 133/15

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BE REPRODUCED PHOTOGRAPHIC- ALLY WITHOUT PERMISSION OF THE PUBLIC RECORD OFFICE, LONDON

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The Climatic diseases usually prevalent in the Colony were of their ordinary character, with the exception of Fever, which was somewhat more prevalent than usul, and manifested a tendency in many cases to put on a typhoid form, with imperfect intermissions.

In the Autumn of the year a number of cases of Phagedaenic ulcers of the leg and foot, of a most obstinate and formidable character, occured amongst the Chinese prisoners in the Goal, and in two or three instances also attacked the Europeans.

An extensive trial of the prophylactic virtue of quinine wine (a close being given the first thing every morning) was made in the Garrison at Canton, and the Reports of the different Medical Officers bure evidence to its very great utility and benefit.

I would strongly recommend that a similar plan be adopted with those Constables who are sent to the out-lying Stations on the Island, such as Aberdeen, Stanley, Sow-ke-wan, and Siwan, for I have noted, not only since I have been Acting Colonial Surgeon, but also in former years, that the worst and most obstinate cases of Fever and Dysentery arise among the men placed at these Out-stations; and I believe it to be a fact that, if their stay be at all prolonged at either of these Stations, scarcely ons escapes altogether the ill-effects of the Malaria.

These cases of disease might I believe he almost entirely avoided, if the Superintendent of Police were to insist that the Constables stationed at these places should take every morning a dose, either of quinine mixture, or of quinine wine.

The experiment of establishing a Sanatoriuin on Victoria Peak, recommended some years ago by the late Dr Morrison, then Colonial Surgeon, has again been agitated during the past year, and I believe stands a fair chance of being put to the proof, both by the military authorities and by private enterprise. I believe that the difference of temperature would tell very favourably in many of the diseases which

occur bere........

I shall conclude this Report with the following Statistical Tables having reference to the Gaol, the Civil Hospital, the Seamen's Hospital, the Police Force, and the state of the Weather during the year:→

VICTORIA GAOL.

The following Table shews the Number of Cases and Mortality under each Discaso, during the Year, 1858.

DIVELSE

CASE3

DEATBS.

DISEASE

CASES.

DEATHS.

18

Brought over,

THE SEA MEN'S HOSPITAL.

The following Table shows the Number of Cases and Mortality under each Disease, during the Year, 1858.

Amputation,

Berri Berri,. Cholera Asiatica,

Colica,

DISEASE

Con Usions, Debility. Delirium Tremens, Diarrbus, Dulocation, Dysentery. Rebria Intermittens, Febris Remittens, Fractures, Gastritis, Gonorrho Hepaticia

CASES.

DEATUS.

Bul

CABES.

DRATHU.

DIORASE

Brought forward,

163

39

Opthalmia, Orchitis, Paralys Phthisia, Pneumonia, Rheuminiam, Scorbutus,

Disente,

Picture of Urethra,

Byplatin, Primary, Syphilis, Secondary.

Ulcers, Variols,

Wounde Gunshot,

Wounds, Incised,

Other diseasen,

Hernia

Heart Disease,

Carried over,

165

39

Mortality 163 per cent.

THE POLICE.

Total,

288

48

ang bener,"

Amentia,

Berri B.rri,

***Bronchitis,

State Cholers,

Colica,

Constipatio, Contusio.

Diarrhea,

Dysentery..

1.

Epilepsy

Rebria Intermittens,

...Febris Remittens,

Hemate aegis,

Hemorrhoids,

Hemoptysia,

16

Icterus,

Hernia,

Opthalmia,

Orchitis,

Phagedenic Ulcers,

Phthisis,

P

+umonia,

Rheumatism

Syphilis, Primary, Syphilis, Secundary, Scable

Wounde, Ganshot,

Wounds, Incised, Dyspepsia,

Carried over,

91

18

Mortality 13.69.

Total,

163

23

Table showing Rate of Sickness and Murtality in the VICTORIA GOL, during the Year 1858.

AVERAGE STRENGTH.

TOTAL SICK. TOTAL DEATHS.

RATE OF

SICKNEES

RATE UP MORTALITT

266

163

23

61.27

8.64

per cent

January, February,

March,

April

May,

June

Jul

August, September, October, November,

December,

Table showing the Admissions into Hospital and Deaths during the Year, 1858.

MONTH.

Totals,

EUROPEAN,

INDIAN.

CHINESE

TOTAL ADMISSIONS TOTALDEATHS.

Adou sions.

Deaths.

Admis- агола.

Deaths.

Admis sions.

Deaths.

25

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14

24

1

20

31

2 198

4

13

1

257

7

Table showing Rate of Sickness and Mortality in the HONGKONG

POLICE FORCE, in the Year, 1858.

STRENGTH

TOTAL SICK. TOTAL DEATHS

RATE OF

SICKNESS.

RATE OF MORTALITT

279

257

7

92.11

2.50

per cent

per cent.

"WEST 1 -202

THE CIVIL HOSPITAL.

The following Table shows the number of Cases and the Mortality under each Disease during the Year 1858.

Disease

Amputationa,

Abacem, - §

Anamarca,

Apoplexia, Arcites, Bronchitis, Cholera Asiatica,

Bural

stipatio,.

Contusio,

Delirium Tremens,

Diarrhea,

Febria Intermittens,

Febris Remittens,

Fistula in Ano, .

Practors,

Gonorrhæt

Granular Conjunctiva,

- Carried over,

CASES.

DEATES

1.

Hepatitia, Homoptysis, Hemorrhoids, Heart Disease, Icterus, Lapri

Mania,

Orchitis,

Phibisis,

Pneumonia,

METEOROLOGICAL TABLE.

Showing the range of the Thermometer and Barometer, direction of the Wind, Rain fall, &c.

BAROMETER

WEATHER

DISEASE

CASES

DEATHS

THERMOMETER

WIND.

MONTE.

Brought forward,

319

70

Alaz. Med. Min. | Maz.

Med.

Min

Jrausry, February. March,

67

April,

May,

June,

88678 8 58288

86288 28867

95882 R22888

50 29.94

-89 20-83

N.E. & R.

67

29.95

£9.90

29.86

E. & N.E.

49

229-8520-77

29-75

E.N.E.

66

29-82 29-77

29.73

E.S.E

75

29-7029 06

29-64

E-3 W.-S.E.

79

29-61

29 67

29.54

8.W.-8.E.

29-97

29-83

29 70 9.W.-S.E.

78

29.94

29 69

29 67 3.W.-8.8.W.-S.E

72

80 12

29 80

69

29 32

29.70

20 64 S.W.-E.-N.E

30 09

29 91

69

30-00

20-87

Рота

Rheumatism, Stricture of Urethra,

Primary,.

Phil Secondary,

Vertigo, .

Variols,

Wounds, Gunshot,

Wounds, Incised,

319

70

Mortality 17.88 per unt.

Total,

450

80

*The apparently heavy mortality in this Hospital is owing to the number of Deaths entered under the heads of Dysentery and Inter mittent and Remittent Fever and Diarrhea A very large majority of the fatal cases under these heads were destitute Chinese and Indians, who had been picked up by the Police in a moribund condition, and were only brought up to the Hospital to die,

July..

August, September,.

October,.

November, December,.

29-678.-S. E.-N.E

29-79 N.E-SW.-E.N. 29-75

E.N.E.-N.W.

Rain 15 days, 2-80 inches; only a few fine days.

Rain 028, & slight showers.

Rain 18 days, 3 G9 inches; overcast

Rain 6 days, 0-71 inches; generally fine.

Rain 22 days, 15 45 inches; few fine days.

Rain

10 days; 27-91 inches; heavy thunder from 22d to 25th-18-50 inches

rain fell in three days; latter part fine.

Bain 2 days, 6-37 inches.

Rain 17 days, 12 07 inches.

Rain 16 days, 5:42 inches.

Rain U54, clear, fae.

Rain 0:15:

Rain 0-14; several days cloudy, overenst.

I have to add a few observations with reward to the Central Police Station, the Civil Hospital, and the Gaol.

The Drainage of the Central Police Station is in a very unsatisfactory state, and requires immoliate amendment. It seems that the Station is entirely surrounded by a drain which has not a sufficient fail into the sewer, and that the contents of two privies pass into this drain, and must remain there for a considerable time.

Such an arrangement cannot but be injurious to the health of the many persons who inhabit the Station, and I have myself in the Bummer several times noticed a most offensive effluvium to arise from it.

The Superintendent of Police has, I believe, called the attention of the Surveyor General to the matter.

I need not dilato upon the necessity which exists for the enlargement of the present Gaol, and the improvement of the Hospital Accommodation therein, as the Government is fully alive to it, and has already appropriated funds for the purpose.

A large and commodious house situate at West Point, on a site which, as far as sanitary mattors are concerned, la unobjectionable, has been purchased by the Governinent for a Civil Hospital. On the fitness of the building for this purpose I cannot now report, as its former owners have not as yet vacated it.

T. A. CHALDECOTT, Acting Colonial Surgeon,

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